name: _________________________________________________________

address: _______________________________________________________

city: _________________________ state: _______ zip: _________________

home phone: _________________ work phone: ______________________

email address: ______________________ date of birth: ________________

Have you ever been a member of Mid-Continent? _____________________

Please check any of the boxes below if you would like to know more about volunteer opportunities in these areas:

___ wooden coach restoration

___ exhibit design/modeling

___ library/archives

___ grant research/writing

___ locomotive repair

___ train crew

___ docent/greeter program

___ car attendant

___ magazine/newsletter writing

___ photography

___ track work

___ electrical repairs

___ general carpentry

___ plumbing

___ mansonry

___ welding

___ maching

___ office help

Dues: $40 (make check payable to Mid-Continent)

Signature __________________________________

Date ______________________________________

Mail to: MCRM, P.O. Box 358, North Freedom, WI 53951-0358